[44F] With chronic hives, urinary pain, and fatigue

What might be happening

Based on the symptoms you've described, several potential conditions could be contributing to your discomfort:

1. Urinary Tract Infection (UTI):

   • UTIs are common and can cause pain during urination, a frequent urge to urinate, and lower abdominal pain. The burning sensation and sharp pain towards the end of urination are classic symptoms.
   • Treatment typically involves antibiotics prescribed by a healthcare provider. Over-the-counter medications like Azo can help alleviate symptoms but won't cure the infection.

2. Interstitial Cystitis:

   • This is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The pain can range from mild discomfort to severe.
   • Treatment may involve medications, physical therapy, and lifestyle changes.

3. Chronic Hives (Urticaria):

   • Chronic hives can be triggered by various factors, including stress, certain foods, medications, or underlying health conditions. They appear as red, itchy welts that can vary in size.
   • Treatment often includes antihistamines and avoiding known triggers. A healthcare provider may also investigate underlying causes.

4. Fatigue and Excessive Sleepiness:

   • These symptoms can be related to a variety of conditions, including thyroid disorders, sleep apnea, chronic fatigue syndrome, or even depression.
   • A thorough evaluation by a healthcare provider is necessary to determine the underlying cause and appropriate treatment.

What you can do

1. Consult a Healthcare Provider:

   • Given the severity and duration of your symptoms, it's important to see a healthcare provider for a comprehensive evaluation. They may perform urine tests, blood tests, or other diagnostic procedures to determine the cause of your symptoms.

2. Stay Hydrated:

   • Drink plenty of water to help flush out your urinary system. This can help alleviate some of the discomfort associated with UTIs.

3. Avoid Irritants:

   • Avoid potential irritants like caffeine, alcohol, spicy foods, and artificial sweeteners, which can exacerbate urinary symptoms.

4. Over-the-Counter Relief:

   • Continue using Azo for symptom relief, but remember it is not a cure. Antihistamines like loratadine or cetirizine can help manage hives.

5. Rest and Self-Care:

   • Ensure you get adequate rest and practice good sleep hygiene. This includes maintaining a regular sleep schedule and creating a restful sleep environment.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe Pain: If your abdominal or pelvic pain becomes unbearable.
• Fever and Chills: These could indicate a more serious infection.
• Blood in Urine: This could be a sign of a more serious condition.
• Difficulty Breathing or Swelling of the Face/Lips: These could be signs of a severe allergic reaction.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.